HomeMy WebLinkAboutAPPLICATIONS - 08-00327 - 100 W 4557 N - New SFR MechanicalJul, 1, 2008 11:00AM
.dun. 10, 200$
ALPHA MECHANICAL
CITY OF REWBURG PE
to act w agent for owner locust accompany this application.)
ME RI. MCAL PERMIT APPL IC.AT I O N' Please con 100 W 4557 N- H i l l m a n
.19 E MAIN, R X -BURG, I D. 83440 If the question
208 - 59 - 3020 X326
PARCEI. NUMBER: ��� ��� %e will provide this for you)
SUBDIVISION: _UNI "T# BLOCK #_ LOT#
(AdUessing is based on the information - mast be accurate)
PRCPER.TX ADDRESS:
ACT P90NE #
PHCNE #: Home �$) - I4'tirk ( ) _ _ C,c" •••
O"� —MZ MAXL1N IG /LDDRI:.Si �. fcITY _ STATE ZIP.�I' . o
FM1�.IL
�I,_.i°P .LXC"IM : (If° other than owner)
(AppL if other tho owner, a statment
APPLICANT BI ORI'+r1AT OM ADDRESS_ CITY:
STA'n ;,_ ...... -__ — IP� EMAIL
Pl10_ #: Home ( )_ `-- - -._. Work (
:CM.��:
0
No,6295 P- 4
AI- CALL D 1 )
0800327
FAX
Cell ( )_
lvl[A.ILING ADDR:ESS:_0 !�� tL CITY STATE
PI-I E: Rome # 1_too Work#i _ � � Cell#
FAX M
How >alrttry builcLirlF;s are located on this prof ; r•t y ?_ _
Did yoli I:E:C I:�urc:hase this ln- ope.rty? Na Yes (If yes give owner's name)
IS dais a 10t Split? *NO 'YES (Please bring t�upy of new legal dcscriptio)a of property)
PROPOSED USE: , � I
0x-,, Singles 1Patmly Residence, Muld Family. Apartment,, Remodel, Garage, Comynerclal, Addition, I:to,
A?PL "CANT'S SIGNATLTRI.:, CERTIFICA" [ ION xND AUTHORIZATION Under penahy of perjury, r )lmby certify xbm i have
read tbil: appli.oation and state that the ia.forr11:uiQt1 hcrein is correct we J iweer that any information, Whicb may hereafter be given byMein hMkW before the Flaming
Wd zonirg Conuniasion or the City couocll l'or the CSty of Raaburi: sk;all be trmhf ul and correct- i agree to Comply with all city teodatio
subject sn ru and State Jews relating to the
in 311er of this appliaeuion end htaoby.aulhorkzed raptoactltativ of the Ciro to enter upon the abovamen[iORed property+ for in6peCdOns purposes. NOTE: Tha
building , may rovokc apcnutlit on approval issued tmdor the IAOvisions ofthe 2003 Inteanatjowd Code in CM09 of any false s=ement or mjtsteprwmtauen or fad i,
cc pGc 'err the pled:: on w royal was sa ed. Fermi► void 11f not started within I So days, PO T It void if work stops for 180 days.
8igmatuse, o r I�plicfint +DTE
Do you prefer to be contacted by fax, entail o phone? Circle One
vW&RNING — BUILDING P3,RMIT MAST 0Z POSTED ON CONSTRUCTION SrrE!
P 19LU fees are Oori- refundable and are paid in fall at the time of application beginning J•aAuo>•v. 1.2AOS.
City of Rezburg's Acceptance ofthe plan review fee does not conetiture plan approva,!
Jul. 7, 2008 11:00AM ALPHA MECHANICAL No-6295 P. 5
Jj (1. 10. 2.008 10: 1 1AM No, 6466 P. 4
Building Safety Department
Cily of Rexburg
REXBURG'
x1clin -'Jnelih(�4w6urg.crg Phcne: 208,359,3020 X326
Rexburg. 1C) 63"0 AWW.rcXbUr-c%()rq Fax. 206.,359.3024
YAM
PROP]HIJUY
SUBDAUSIGN
Fe'l-r-riftAt
fi D 9 f f)
.ev ..
MECUM VICAL
ZV.'cch,;uAcaJ, COMI Naille: -
t- Business Name: c
Address Cap c�
C�dl Phoj)e. (AO) W-Lj;? - L095 Pbone-
'Fiz-x.
Mechanical E, 81,11 mate Q�,WTcomwe.rcial/P4niti ]Family Or%jy)
g VO I n n
CJ')
0 l
17ionaca EXhaust or Vcnt.Ducts
1-umace/.Air (..onditlomi- Combo Dryer Veats
Range Hood 'Vents
Air Conditiolier
Evaparafive Cooler
Urdl H.Cater
Spact. lle:ater
Deconative ,gas- fired apy
hic.inerator o
11011or
Cook Stove Vmts
Bath Fan Vents
-
Othersim.dar vents & ducts,
Pool He ater
fuel Gas Pipe Oudets i-Yi;1u-dirjg stubbed in or funlre outlets
I'leat (Or all that apply) Gas 0 C
.P i Nreplar e Electric, Hydrollic
NITAS- UELL n .�',Alculafioas in ust be -subinitted with Plans & A
!!!! L be sJ12ni on p s.
L 3
LLY
9)re, a d Licerse number Sisnad .1..:icex)sea
710 City qfRex�zerg's parmh-_O is rho same as required by the State of' Jda hc,